MalfunctionFOX
STATLOCK PICC PLUS CRESCENT SLIDING POST
Received Jul 22, 2021 · Event occurred Mar 15, 2021
Report 3006260740-2021-02919 · MDR key 12214993
Device
Generic name
Stand, Infusion
Manufacturer
C.r. Bard, Inc. (basd) -3006260740Model number
N/ACatalog number
PIC0220
Lot number
JUEW1695
Product problems
- Misconnection
- Misconnection
Patient
Not reported
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. A LOT HISTORY REVIEW (LHR) OF JUEW1695 SHOWED NO OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER.
Description of Event or Problem
IT WAS REPORTED "CLIPS THAT SECURE CATHETER IN PLACE ARE COMING UNCLIPPED." NO OTHER INFORMATION WAS PROVIDED.